1 minute read
Are Your NSA Documents Compliant?
The NSA?s intent is to provide transparency in healthcare costs and prevent balance billing, and to meet those objectives NSA documents must communicate informative estimates and clearly explain the patient?s rights under the NSA Join us as we review the CMStemplates of required NSA documents and demonstrate how to properly utilize these documents for the patient?s greatest benefit.
CorroHealth?s ?No Surprises Act and Price Transparency, a New Monthly Series?was created to provide attendees with clarity around No Surprises Act, to answer questions, and get you on the best path for success. The series also clarifies payers?increased role in the process, the status of impactful legislation, and the processes providers should follow to comply
About Barbara Johnson, BSN, RN ?Senior Revenue Cycle Consultant
Leading the series is CorroHealth?s resident subject matter expert, Barbara Johnson, BSN, RN ?Senior Revenue Consultant
As a registered nurse Johnson worked in emergency medicine before transitioning into nursing administration She entered the specialty of Revenue Integrity as a nurse auditor where she expanded her knowledge of coding and revenue cycle compliance through membership in AAPCand HFMA Today, she is CorroHealth?s leading subject matter expert on NSA
XR Femur, Tibia And Fibula
Quest ion:
A patient (21-month-old child) was seen in the hospital, and the physician ordered an Entire L Lower Limb due to child limping There has been many e-mails and a meeting on which code or codes should be used. Our lead coder states XRFemur and XRTibia & Fibula 2 view and to add a modifier 52. Is this correct?
Answ er:
We agree that the professional fees for 73552/73590 should NOT have modifier 52 appended, because the work of interpretingthe two examinations is not reduced or diminished by having the tib/fib and femur on the same image for each view. The facilit y/ t echnical fees for 73552/73590 SHOULD have modifier 52 appended, because only two total exposures were performed instead of four.
According to CPT®Assistant (November 2017, page 10-11):
